Surgery plume filter device

ABSTRACT

A filter device and method of filtering components from a surgery plume. The filter device is comprised of a plurality of elements which react with one or more components of a surgery plume, such as that generated during electrocautery or laser surgery. The filter device, particularly in conjunction with a separate particle filter, removes cyanide, formaldehyde, benzene, and particulates, as well as odor-causing species and moisture from the surgery plume.

FIELD OF THE INVENTION

The invention relates to a filtering device, and a method of filtering,for removing from an airstream particulates, various hazardous and odorcausing chemicals. Specifically, the invention relates to a filterdevice for removing hazardous and odor causing species from an airstreamgenerated in an operating room, such as by the surgical application offocused energy on tissue, as in electrocautery or laser surgery.

BACKGROUND OF THE INVENTION

It has been known for a number of years to utilize focused energy in theform of heat or electricity to burn or scar skin and underlying tissuein connection with the treatment of various ailments and disease. Thepractice, known as cauterization, has been particularly useful for theremoval of abnormal skin growths. One drawback to the practice has beenthe generation of foul-smelling materials at the site resulting from theburning of the tissue. Fortunately, the volume of these materials wastypically relatively low due to the type of ailments treated by theprocess. However, where electrocautery is used to seal blood vessels inconnection with invasive surgery, the volume of materials generated issubstantially increased.

Since the 1970's, lasers have been used in operating rooms to treat awide variety of ailments. As in the traditional practice ofcauterization, the laser was used to burn or sear tissue. However,because the laser was used in larger scale invasive surgery, the amountof materials generated at the site was substantially larger than thatfrom traditional cauterization, with resulting problems related to thevolume of the foul-smelling materials and the effect on operating roompersonnel.

The gas-generation problem has become more prevalent because in a numberof surgical applications, lasers have an advantage over conventionalscalpel cutting tools in that the laser is a more precise instrument,resulting in less trauma to adjacent tissue. Also, because the heatgenerated by the laser cauterizes the tissue as it is being cut, thereis less blood loss and the healing process is speeded along.

In operation, the laser scalpel performs its cutting function by burninga narrow width of tissue. This process vaporizes moisture in the tissueand creates a smoke plume consisting primarily of water vapor, but whichalso includes small quantities of potentially hazardous and toxic gases,odor-causing gases, particulate matter of 1 micron or less, and bacteriaand viruses.

This smoke generated by the laser scalpel, otherwise known as the laserplume, creates a variety of problems for the surgical operating team.The laser plume obscures the view of the surgeon during cutting.Further, the plume eventually deposits a coating on the mirrors used forviewing the cutting site. The operating room personnel also riskcontracting infection by inhaling bacteria and virus from the tissuevaporized by the laser which are carried in the plume. The materialsgenerated by the laser scalpel and carried in the laser plume tend tocause headaches and nausea, and more rarely nosebleeds and vomiting,which in certain instances have forced the operation to be terminateddue to the sickness of the personnel. Finally, it has recently beendetermined that low levels of mutagenic and carcinogenic agents such ascyanide, formaldehyde and benzene are carried along in the plume.

The volume of the generated laser plume is a function of the power ofthe laser scalpel. As higher powered lasers are used, increasing amountsof laser plume are generated, consequently increasing the risk anddiscomfort to the operating team. The major lasers used in the medicaland surgical fields utilize the lasing materials Neodymium-YttriumAluminum Garnet (Nd:YAG), Carbon Dioxide and Argon.

Early attempts to address the problem of removing the laser plumeinvolved the use of vacuum devices fitted with an activated charcoalfilter. These early devices removed the laser plume smoke from thecutting site and improved the surgeon's view of the site. However, thevacuum device could not remove all of the plume generated by high energylaser scalpels. Also, the moisture in the plume would tend to deactivatethe charcoal over a period of time. Further, the charcoal filter hadlittle or no effect on reducing the odor.

To meet the new requirements caused by the use of higher powered lasers,LASE Inc., a subsidiary of U.S. Medical Corporation, Cincinnati, Ohio,developed a smoke evacuation system incorporating an activated charcoalfilter, a moisture filter before the charcoal filter to preventdeactivation of the charcoal filter, a high efficiency particleabsorbing filter for capturing particles as small as 0.12 micron, alarger diameter hose to capture the increased volume of laser plumegenerated, and a deodorizing cartridge to mask the odor created by theplume. One type of evacuator unit used in laser surgery was the LaseSystem II, from U.S. Medical Corporation, and discussed in U.S. Pat. No.4,963,134 which is incorporated herein by reference. In the middle1980's, clinical studies were conducted which determined that amounts ofmutagenic and carcinogenic agents such as cyanide, formaldehyde andbenzene, and also traces of compounds such as acetone, isopropanol,cyclohexane, and toluene, are produced during the laser surgeryoperation. Studies also recently determined that bacteria and viruses inthe tissue subjected to laser were carried in the active state in theplume. Smoke evacuation systems employing only activated carbon and aparticulate filter are unable to remove the mutagenic agents, bacteriaand virus species, and the odor causing species from the plume. Rather,these systems were only able to partially mask the odor causing speciesin the plume.

SUMMARY OF THE INVENTION

It has been an object of the invention to provide a device for filteringsurgery plume such as that caused by lasers which actually removes odorfrom the airstream as opposed to merely masking the odor.

It has been a further object of the invention to provide a filter devicewhich removes mutagenic and carcinogenic agents of the type detected insurgery plume.

It has been yet a further object of the invention to provide a method ofremoving mutagenic and carcinogenic agents and odors from surgery plumecontained in an airstream.

It has been yet a further object of the invention to provide a solutionfor dispensing in a filter device which is particularly effective inremoving mutagenic and carcinogenic agents, odors, and active bacteriaand virus from an airstream incorporating a surgery plume.

It has been yet a further object of the invention to provide a filterdevice for removing chemical compounds and particulates from the site ofthe operation which would otherwise be harmful to operating roompersonnel.

These and other objects and advantages of the invention are obtained bya filter device for receiving an airstream having a surgery plumecomponent such as from laser surgery which can accept the airstream atflow rates necessary for removing substantially all surgery plume fromthe operating area, which further can eliminate or reduce to acceptableexposure limits the known mutagenic and carcinogenic agents and odor inthe surgery plume from the airstream before it exits the device. Thediscussion herein will use the term "surgery plume" to include not onlythe gaseous and particulate materials generated in electrocautery andlaser surgery, but also the volatile bonding agents used in orthopedicprocedures, bone tissue particles from cutting or drilling procedures,and the like.

Important to the removal of these agents from the laser plume componentof the airstream is the incorporation of an oxidizing and surface activesolution which is dispersed inside the device through which the surgeryplume must travel. Excellent results have been obtained by dispersingthe solution in the form of a foam. Foam is generated by the effect ofthe air entering the device and interacting with the solution. Thecontact time of the surgery plume with the foam containing the surfaceactive and oxidizing component in the filter device is sufficient tobreak down most of the mutagenic and carcinogenic agents and odorcausing species, and to kill the bacteria and virus in the surgeryplume. Downstream of the foam are separate layers of a drying agent andan activated carbon filter which collect moisture and trap residualparticulate species and stable but hazardous organic compounds such asbenzene in the airstream. The drying agent, or desiccant, minimizes thequantity of moisture seen by the activated carbon which would otherwisecoat and render inactive the absorbing surface of the carbon. An ultralow particle size absorbing filter is preferably placed in-line anddownstream from the device to capture particulate matter down to 0.01microns which would otherwise pass through the device and be exhaustedto the environment.

These and other objectives and advantages of the invention are describedin greater detail below, and are shown in the drawings in which:

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a diagrammatic view of the filter cart unit shown in phantom,which houses the filter device and interfacing equipment;

FIG. 2 is a diagrammatic top view of the filter cart unit shown inphantom, housing the filter device;

FIG. 3 is a perspective view of the filter device with attached solutioninlet line;

FIG. 4 is a cross-sectional view of the filter device with solutionintroduction port; and

FIG. 5 is a cross-sectional side view of an alternative filter deviceapplication.

DETAILED DESCRIPTION OF THE INVENTION

The invention in its broad aspects is adapted to accept an airstreamcontaining gaseous and particulate materials comprising cyanide,formaldehyde, organic compounds, odor-causing species and moisturegenerated during cauterization or other treatment of animal tissuewhereby the apparatus removes the cyanide, formaldehyde, organiccompounds, odor-causing species and moisture from the airstream. Theapparatus also inactivates bacteria and virus carried along in theairstream. One such apparatus is a filter assembly for receiving andtreating an airstream containing gaseous and particulate materials froma surgery plume comprising a canister for retaining a plurality offilter components and having an inlet and an outlet, the inlet forreceiving the airstream which contains the gaseous and particulatematerials at a rate of flow; introducing means for introducing anaqueous solution comprised of oxidizing and surface active componentsdownstream of the canister inlet; a first porous member downstream ofthe introducing means for receiving the aqueous solution and the gaseousand particulate materials, adapted to generate a dispersion of theaqueous solution by the interaction of the aqueous solution with theairstream through the porous member; and activated carbon in thecanister through which the airstream flows. Good results have beenobtained by placing in the canister downstream of the first porousmember a second porous member spaced from the first to create a chamberwhich receives the foam.

As noted above, the surgery plume has been found to contain not onlywater vapor, hydrogen cyanide, formaldehyde, benzene, odor causingspecies which typically include additional aldehydes, and particulatematter formed during the burning process, but also bacteria and viruses.Studies have indicated that the HIV virus, among others, has beendetected in the surgery plume. It is also believed that human papillomavirus (HPV) may also be transmitted in the surgery plume. Thus, it isimportant not only that the virus component be evacuated from thesurgery site, but that it be killed before the evacuated airstream isreintroduced to the environment. In comparing the approximate particlesizes of surgery plume components, bacteria has particle diameters inthe range of about 0.2 to about 25 microns (10⁻⁶ meter), and the smokecomponents of the surgery plume from the laser operation have particleswith diameters ranging from about 0.15 to about 8 microns, while theparticle diameters of viruses reach a minimum of about 0.05 micron. Acontainer of oxidizing solution through which an airstream is bubbled toremove virus components forms bubbles which are too large in diameter topermit adequate contact of the virus species with the oxidizingsolution. It has been found that use of a foam, which is continuallybeing broken down and reformed by the interaction of the airstream withan oxidizing solution containing a surface active component in a definedspace, results in sufficient contact time with the bacteria and viruscomponents to kill these species. Alternatively, dispersion in the formof sprays or mists may be employed, but the surface area of theoxidizing solution exposed to the airstream is not as great as the foamin a canister of equal size.

The hydrogen cyanide component of the surgery plume is oxidized bycontact with the solution to form cyanate. The formaldehyde as well asany other aldehydes present in the odor causing species become oxidizedor polymerized in the presence of the oxidizing solution as theairstream passes through the foam layer.

The benzene component of the surgery plume is resistant to oxidationbecause of its chemical stability. Nonetheless, it is removed from anairstream by passing that airstream through a layer of activated carbonwhich absorbs the benzene and other organic compounds. One drawback tothe use of activated carbon in the same system with an aqueous solutionor a moisture-laden airstream is that the moisture as it passes throughthe activated carbon tends to deactivate the material and render itunable to remove organic species such as benzene. Thus, it is necessarythat a desiccant layer be interposed between the moisture source and theactivated carbon layer to optimize the absorption ability of the carbon.So long as the airstream passing through the activated carbon layer isof approximately the same humidity as that of the surgery room,typically in the range of about sixty percent to about eighty percentrelative humidity, the level of moisture is sufficiently low to maintainabsorption sites on the activated carbon layer to remove the benzene andother organic components.

To provide further assurance that the formaldehyde and other aldehydecomponents in the surgery plume are removed by the filter device, anoptional discrete porous member coated or impregnated with an aldehydepolymerizing agent may be positioned in the filter device.

The odor causing species are removed from the airstream by contact withthe oxidizing component in the foam, and are further susceptible toremoval as the airstream passes over the desiccant and activated carbonlayers, removal being by absorption onto the surface of these layers.The oxidizing component can be one or a mixture of a number ofcompounds. Representative materials include but are not limited tosodium hypochlorite, sodium perborate, sodium permanganate, and sodiumthiosulfate. The oxidizing agent concentration in the solution istypically in the range of about 0.5 to about 25%, by weight.

The surface active component also can be one or a mixture of a number ofcompounds. Representative materials include but are not limited tosodium alpha olefin sulfonate, sodium lauryl dimethylamine oxide,nonylphenol polyethylene lycol ether such as TERGITOL NP-10, anddisodium oxy-bis dodecyl benzene sulfonate. The surface active componentmust be essentially inert to the oxidizing agent, yet be capable ofcontributing to the foam formation of the aqueous solution containingoxidizing agent. The surfactant concentration in the solution istypically in the range of about 1 to about 5%, by weight.

The oxidizing solution is formed by adding the surfactant component tocold water, then adding the oxidizing agent. The solution maintainsoptimum long-term stability if the pH is at least about 10.5, typicallyin the range of about 11.5 to about 12. Where the pH is very alkalinedue to the addition of the surfactant, in the range of 13 to about 14,the pH can be lowered by the measured addition of sodium bicarbonate.

Representative desiccant materials are anhydrous calcium sulfate (4mesh), amorphous silica and naturally-derived zeolites based on calciumaluminate. Activated carbon is available from Calgon, Inc., Pittsburgh,Pa., in six mesh particle size.

As an alternative to the removal of surgery plume components in a filterdevice utilizing in part an aqueous oxidizing solution, removal of thecyanide, formaldehyde and benzene components from an airstream has alsobeen effected using a filter assembly without adding oxidizing solution.This assembly comprises a canister for retaining a plurality of filtercomponents and having an inlet and an outlet, the inlet for receivingthe airstream containing the gaseous and particulate materials includingcyanide, formaldehyde and benzene from the surgery plume at a rate offlow, a filter member inside the canister incorporating a componentwhich is reactive to at least the cyanide component, a discretedesiccant layer inside the canister, a filter member inside the canisterincorporating a component reactive to at least the aldehyde component,and a discrete layer of activated carbon for removal of benzene andother organic compounds which is downstream of the desiccant Instead ofa foam solution containing oxidizing and surface active components, thedry filter assembly utilizes discrete porous members, such as pads orsponges, coated or impregnated with oxidizing or neutralizing solutionsin combination with an aldehyde polymerizing agent incorporated onto adiscrete pad, and further retaining the discrete desiccant and activatedcarbon layers for removal of cyanide, aldehydes, and benzene and otherorganic compounds. The relative positions of the separate layers is notbelieved to affect removal capability, except that the carbon layerretains its activity longer if it is downstream of the desiccant layer.

The porous members in the dry filter assembly will include individualmembers coated or impregnated with compounds which are reactive tocomponents of the surgery plume. These compounds are applied toindividual porous members by dipping the members into, or spraying themember with, a solution of the agent, followed by drying. Alternatively,a dry powder containing the agent can be directly applied to the pad.

The amount of compound deposited onto the porous member is a function ofthe porosity and size of the member, and the concentration of thesolution. Aqueous solutions which are reactive to hydrogen cyanide whichwere used to coat porous members include the following: 20% potassiumpermanganate; 50% sodium hydroxide; 20% sodium dichloro-s-triazinetrionedihydrate; 45% potassium hydroxide; 10% sodium perborate; and 20% sodiumthiosulfate. The alkaline materials listed above coated onto a porousmember retained cyanide, but did not convert the cyanide to any extentto a less toxic material. The above percentages are to be considered asrepresentative only. It can be appreciated that other concentrationsolutions can be used for dippinq and spraying. In practice, an amountof agent must be applied which is effective to react with the airstreamcomponents over the period of time that the filter assembly is inoperation.

Because live bacteria and virus are carried into the filter assembly,both with the dry filter assembly and the filter assembly utilizing theoxidizing solution, it is safer practice to dispose of the filterassembly after each use. It has been estimated that presently themaximum amount of time that a laser scalpel is used in a singleoperation is approximately fifteen minutes. An additional safety factorof about fifteen minutes operating time is built in, resulting in adisposable filter assembly which would be effective in removing thegaseous and particulate materials generated by current laser scalpelsfor a period of about thirty minutes. As surgical techniques and powerlevels on lasers and electrocautery knives change, the working lifetimeof the disposable filter assembly will need to also be adjusted.

A material reactive to formaldehyde and other aldehydes is availablecommercially as Formalex™, S & S Company of Georgia, Inc., Albany, Ga.This proprietary material removes the aldehyde component from theairstream by polymerizing the aldehyde. This material applied to aporous member at full strength and then dried was effective in removingformaldehyde from the surgery plume.

In both the wet and dry filter assemblies, minimal head pressure drop isdesirable, to permit relatively high airstream flow rates with smallervacuum units which operate relatively quietly in the operating roomenvironment. The particulate matter in the surgery plume is partiallyremoved as the airstream flows through the multiple porous pads,desiccant and activated carbon layers. However, remaining particulatematter down to a particle size of 0.01 micron is removed by a separateULPA (ultra low particle absorbing) filter downstream of the filterassembly, prior to exhausting of the airstream back into the operatingroom environment. One such ULPA filter is manufactured by FlandersFilters.

Referring to the drawings, FIGS. 1 and 2 are schematic views of thefilter cart unit 2 which houses the filter assembly 6 and itscomplementary components. Attached to the inlet port 8 of filterassembly 6 is a flexible hose 10 with a suction tip 12 which is placednear the tissue site where the laser surgery, electrocautery, or othergaseous or particulate generating operation is taking place.

The filter assembly 6 is comprised of a cone portion 16 and acylindrical portion 18. The cone portion 16 has an inlet port 8 at oneend and is permanently attached to the cylindrical portion 18 byadhesive or heat bond, or the like, at the other end. The cone portion16 has a raised lip 22 with tabs 24 along a portion of the raised lip 22which fit into and lock with corresponding slots 28 in the filter cartunit 2 to retain the filter assembly 6 in position.

A feed port 32 is located on cone portion 16 at the inlet port 8 topermit introduction of an aqueous solution inside the filter assembly 6.Feed line 36 is attached to feed port 32 and connects with pump unit 40for supplying a measured portion of oxidizing solution when the wetfilter assembly is being used. Pump unit 40 in turn is connected tosolution reservoir 44 outside the filter cart unit 2 via supply line 46for supplying the needed oxidizing solution. Alternatively, thereservoir may be located inside the filter cart unit 2. Acceptableresults have been obtained by suspending the solution reservoir 44 abovethe filter cart unit as in a plastic bag on a support such as an I.V.pole to facilitate proper flow to the pump unit 40 and thereby into thefilter assembly 6. The pump unit 40 facilitates uniform, measuredintroduction of the oxidizing solution into the filter assembly 6, andthe solution flow rate is controlled at keypad 48. However, it can beappreciated that other types of methods of fluid introduction can beutilized, even including direct gravity feed from an I.V. bag into thefilter assembly 6 via the feed port 32.

Flow rates of oxidizing solution are in the range of about 2.9 to about7.3 ml/min over the course of the run, and preferably between about 3and 5 ml/min. As noted, a peristaltic pump such as the Model 54856-070from VWR Scientific, Philadelphia, Pa., is useful in this application,which can provide the desired solution flow rate by varying the tubingdiameter, the cycling time of the pump, or both. For the typical useperiod of about fifteen minutes, this flow rate provides excellent foamgeneration without overloading the filter assembly, as evidenced by foamappearing at the filter assembly exhaust.

The suction applied at the surgery site through suction tip 12 iscreated in a vacuum unit 50 which is connected to the exhaust side offilter assembly 6 through connecting line 52 and gasketed fitting 56.The vacuum unit 50 preferably generates flow rates in the range of about35 to about 85 standard cubic feet per minute (SCFM), and morepreferably between about 55 and about 70 SCFM. A representative vacuumunit is manufactured by Ametek, such as Model No. 116763-13. To minimizeback flow from the vacuum unit 50 particularly after the filter assembly6 has been removed from the cart 2 for disposal, the connecting line 52is fitted with a flip-up shutter door (not shown) which isolates the airsystem.

Residual particulates in the airstream from the surgery plume which flowthrough the components of the filter assembly 6 down to 0.01 micron insize are trapped in the particle filter 60 directly connected to thedownstream end of vacuum unit 50. After passage through particle filter60, the airstream is exhausted to the operating room environment throughcart exhaust port 66. Power to the vacuum unit 50 and pump 40 isdirectly controlled by foot switch 68 or by keypad 48.

As shown in FIG. 4, the filter assembly 6 receives solution through feedline 36 and feed port 32 which is blown into first dispersal pad 72 bythe action of the incoming airstream as indicated by the arrow at inletport 8. The placement of the tip of feed port 32 should be such as toobtain good dispersion of the solution droplets. The first dispersal pad72 is porous and is constructed of material inert to the components ofthe surgery plume and the oxidizing solution. One type of pad ismanufactured from a 60:40 blend of nylon and polyester fibers bondedwith thermoplastic resin, by Americo, Inc., Atworth, Ga., discussed inmore detail below. This pad spans the entire inside diameter of thecylindrical portion 18 of assembly filter 6 to prevent the airstreamfrom bypassing the pad along the inside wall of cylindrical portion 18and is retained in position by tube spacers 74 on the upstream side anda bead of hot melt adhesive on the upstream side of the pad whichcontacts both the pad and the inside circumference of the cylindricalportion 18.

Downstream of the first dispersal pad 72 is a second dispersal pad 80.This pad, like first dispersal pad 72, is secured by a bead of hot meltadhesive on the upstream side of the pad. The pad is also manufacturedby Americo, Inc. and is discussed in more detail below. This seconddispersal pad 80 is coated or impregnated with a formaldehyde reactivecomponent which aids in the formaldehyde removal. An example of such areactive component is a material sold under the name Formalex™,available from S & S company of Georgia, Inc., Albany, Ga. Formalex™ isa proprietary compound which serves to polymerize aldehydes,particularly formaldehyde. Alternatively, the second dispersal pad 80can be uncoated.

Downstream of the second dispersal pad 80 is a filter cartridge 86 whichis secured into the cylindrical portion 18 by a flexible plastisol endcap 88. The filter cartridge 86 has a nose section 90 with a pluralityof spacer ribs 92 to deflect air along the side of the filter cartridge86. The filter cartridge 86 has a tubular construction with an outerlayer 96 comprised of a non-woven polyester substrate media impregnatedwith amorphous silica and serving as a desiccant, such as Lewcott GradeSG-NWPE-4.0-150. The silica is mixed with a polyvinyl acetate adhesivewhich is then applied to the polyester media. Inside the outer layer 96is a first carbon tube 98, which is comprised of two wraps of anon-woven polyester substrate media impregnated with activated carbonground and mixed with a polyvinyl acetate adhesive, such as LewcottGrade ACF-NWPE-4.0-150. Under the first carbon layer 98 is a secondcarbon layer 98a, which is comprised of coal based powdered activatedcarbon, regenerated cellulose, cellulosic fiber and latex binder, suchas Lydall Grade 703 carbon filter media. Under this layer is a celluloselayer 99, comprised of cellulose media with a trace of polyamide wetstrength resin, such as Ahlstrom Grade 1278. The innermost tube in thefilter cartridge 86 is a perforated tube 100 which is injection moldedand made from polypropylene, available from Crellin, Inc. As shown inFIG. 4, the entire center length of the filter cartridge 86 is open,which serves as an exhaust conduit for passing the airstream out of thefilter assembly 6. Structural support along the outside of the filtercartridge 86 is provided by an outer layer of low density polyethyleneextruded netting 102, such as Naltex Grade 407.

The plastisol end cap 88 which retains the filter cartridge 86 insidecylindrical portion 18 of filter assembly 6 is ring-shaped and securesto the polypropylene perforated tube of the filter cartridge 86 and theoutside surface of the cylindrical portion 18 by a bead of adhesivearound the entire circumference of cylindrical portion 18. The plastisolmaterial is a colloidal dispersal of a vinylchloride resin and aplasticizer which is FDA approved for use in potable water applications,such as Dennis Chemical Grade 9233-40. This plastisol end cap 86 issealingly connected to the vacuum unit 50 from which the suctioncreating the airstream flow through filter assembly 6 is generated. Thefilter assembly 6 is shown as a discrete unit in FIG. 3.

An alternative filter assembly removes cyanide, formaldehyde and otheraldehydes and benzene from an airstream without the use of a separatelyintroduced oxidizing solution. As shown in FIG. 5, filter assembly 106has an inlet port 108 for receiving a flexible hose, such as the hose 10shown in FIG. 1. The filter assembly 106 is comprised of a cone portion116 and a cylindrical portion 118. On cone portion 116 is a raised lip122 at the point of friction fit connection to the cylindrical portion118. On this raised lip 122 are a plurality of tabs 124 for mating withslots, such as those shown in FIG. 1 as slots 28.

Inside the cylindrical portion 118 are a variety of spaces for receivingvarious spacer members, reactive members, and absorptive materials. Onematerial which has been used both as a spacer pad to hold a position inthe cylindrical portion, help disperse the airstream, and to serve asthe substrate for one or more chemical coatings to render the padreactive is a 60/40 nylon/polyester composite with a thermoplastic resinas a bonding agent, such as that manufactured by Americo, Inc. Thespaces within the filter assembly in FIG. 5, designated I-VII, arefilled with layers of desiccant, activated carbon, impregnated or coatedpads, and uncoated spacer pads in different configurations. Wheredesired, one or more spaces can be left empty. The pads are secured inthe filter assembly 106 by a bead of hot melt glue around the insidediameter of the cylindrical portion 188. The spaces I-VII are filledwith a pad coated or impregnated with a neutralizing or oxidizing agentto remove cyanide, a pad with an aldehyde-removing agent, such asFormalex™, and a layer of activated carbon to remove benzene and otherorganic compounds. Typically, a layer of desiccant is placed within thecylindrical portion 118 upstream of the activated carbon layer. Spacerpads with no coating are used to separate and maintain the position ofthe desiccant and activated carbon layers and to help disperse theairstream, where desired.

In a typical configuration, from the upstream end, (I) is a porousuncoated pad, followed by a porous pad coated with sodium hydroxidesolution and dried (II), a porous pad coated with Formalex™ (III), alayer of desiccant (IV), a spacer pad (V), a layer of activated carbon(VI) and a final spacer pad (VII).

Because the major component of the laser plume is water vapor, there isa risk that moisture levels can rise within the filter assembly 106 to apoint where any activated carbon therein loses its activity. Thus, tomaximize the absorption time of any activated carbon, it is preferredthat a desiccant layer be located upstream of any activated carbon. Ithas been found that good results can be obtained with the activatedcarbon at the downstream end of the filter assembly 106, with thedesiccant directly upstream. However, it is believed that acceptableresults can be obtained even where activated carbon is located near theupstream end of the filter assembly 106. Where the period of moisturebuildup is relatively short, the activated carbon layer can be usedwithout the benefit of an upstream desiccant layer. However, asexpected, the working lifetime of the activated carbon is shortened.

OPERATING EXAMPLES

The following detailed operating examples illustrate the practice of theinvention in its most preferred form, thereby enabling a person ofordinary skill in the art to practice the invention. The principles ofthis invention, its operating parameters and other obvious modificationsthereof will be understood in view of the following detailed procedure.

A filter assembly of the type shown in FIG. 4 was constructed having acylindrical portion 18 with a ten inch length and four inch insidediameter and made from clear polyvinyl chloride to permit viewing of thefilter assembly components. Inside the assembly was an uncoated firstdispersal pad 72 and a second dispersal pad 80 coated with Formalex™.The first dispersal pad was one inch thick and four inches in diameterand made from a nonwoven nylon/polyester blend such as that used formanufacturing industrial floor scrubbing pads. This particular padmaterial was manufactured by Americo, Inc., Atworth, Ga., and has beenused in both wet and dry filter assemblies as a dispersal and spacer padand as a substrate for an agent reactive to cyanide. The nylon fibercomponent of this pad has a 60 denier. The polyester fiber componentshave a range of deniers of 45, 50, 100 and 300. The pad material whenused in its scrubbing application is identified as the True Grit™, greencleaner pad. The second dispersal pad 80 was also obtained from Americo,and the commercial product is identified as the True Grit™ tan buff pad.The nylon fiber component has a 60 denier. The polyester fibercomponents have deniers of 25, 45, 50 and 60. This second pad was alsoone inch thick and four inches in diameter, and coated with Formalex™,having a total dried weight of 8.0 grams. This pad was typically used asthe substrate for the Formalex™ coating.

An aqueous oxidizing solution of 2.5% sodium lauryl dimethylamine oxide(30% active), 2.5% sodium alpha olefin sulfonate (40% active) and 10%sodium hypochlorite (9.5% active) with the pH adjusted to about 11 byaddition of sodium bicarbonate was introduced through feed port 32 at arate of about 5.5 ml/min over the course of the run. The airstream wasconducted into the filter assembly at a flow rate of about 60 SCFM. In afirst run, the airstream was injected with E. Coli colonies and nutrientto produce a concentration upstream of the filter of about 2.6 billioncolonies/min. over a fifteen minute period. In a second run, theairstream was injected with Serratia Marcescens and nutrient to producean upstream concentration of almost one billion colonies/min. over afifteen minute monitoring period.

After about one minute of operation in both runs, it was observed thatthe foam generated in the space between the first and second dispersalpads was relatively coarse. Foam was also forming downstream of thesecond dispersal pad between the inner wall of the cylindrical portion18 and the outer layer 96 of filter cartridge 86. This foam had a muchfiner bubble structure, with the consistency of a shaving cream. No foamor visible moisture escaped from the filter assembly during the runs.

Analysis of the airstream exhausted through the filter assembly showedno detectable living bacteria. A series of control runs utilizing thesame bacteria in the same concentration without the filter showedsubstantial amounts of detected living bacteria colonies.

A dry filter assembly as generally shown in FIG. 5 was constructed froma Kraft paper-wrapped tube with a white paper outer layer and an innercoating of paraffin wax. As with the wet filter assembly, the paper tubecylindrical portion 18 had a four inch inside diameter and a ten inchlength. The following table shows the removal ability of variousconfigurations of filter components against certain materials typicallyfound in surgery plume. The pads were secured inside the cylindricalportion 18 by a continuous bead of hot melt adhesive on the upstreamside.

                  TABLE 1                                                         ______________________________________                                                                   Component Con-                                     Plume                      centration (PPM)                                        Component Filter          Pre-   Post                                    Run  Monitored Configuration   filter Filter                                  ______________________________________                                                             (Sampling every                                                               2 min.)                                                  1    Hydrogen  I      Open Cell                                                    Cyanide          Urethane                                                                      Sponge                                                                 II     Green Pad  1.  7    <2                                                        (uncoated)                                                             III    Buff Pad   2.  3.5   2                                                        w/Formalex ™                                                        IV     Anhyd. CaSO.sub.4                                                                        3.  5    <2                                                 V      Green Pad  4.  7    N.D.                                                      (uncoated)                                                             VI     Activated Carbon                                                       VII    Green Pad                                                                     (uncoated)                                                                   (Sampling every                                                               5 min.)                                                  2    Formalde- I      Green Pad                                                    hyde             (uncoated)                                                             II     Buff Pad   1.   15  N.D.                                                      w/Formalex ™                                                        III    Green Pad  2.  >25  4.5                                                       (uncoated)                                                             IV     Zeolite    3.   15  1.5                                                       (Ca Aluminate)                                                         V      Green Pad  4.  >15  4                                                         (uncoated)                                                             VI     Activated Carbon                                                                         5.  20   3                                                  VII    Green Pad                                                                     (uncoated)                                                                   (Sampling every                                                               2 min.)                                                  3    Smoke/    I      Green Pad  Smoke was reduced;                                Odor             w/NaOH                                                                 II     Green Pad  Odor not substan-                                                  (uncoated) tially affected                                             III    Zeolite                                                                       (Ca Aluminate)                                                         IV     Green Pad                                                                     (uncoated)                                                             V      Activated Carbon                                                       VI     Activated Carbon                                                       VII    Green Pad                                                                     (uncoated) - (Sampling every                            2 min.)                                                                       4    Hydrogen  I      Green Pad  1.  >60  26                                       Cyanide          w/NaOH                                                                 II     Green Pad  2.   58  30                                                        w/NaOH                                                                 III    Buff Pad   3.   47  20                                                        w/Formalex ™                                                        IV     Zeolite    4.   45  22                                                        (Ca Aluminate)                                                         V      Green Pad                                                                     (uncoated)                                                             VI     Activated Carbon                                                       VII    Green Pad                                                                     (uncoated)                                              ______________________________________                                    

The wet filter assembly having the filter cartridge 86 positionedtherein has been found to be effective in achieving excellent contacttime with the surgery plume component by increasing significantly thesurface area through which the surgery plume must pass with minimum dropin the head pressure across the filter assembly. It is estimated thatthe head pressure drop in this filter assembly is approximately onlythree percent.

In contrast, testing has been conducted on a hybrid filter assemblyhaving the internal configuration similar to the dry filter, but withinjection of an oxidizing solution as in the wet filter. Good resultswere obtained as to removal of certain particulates, odor-causingspecies, moisture, and cyanide, formaldehyde, and benzene. However, thereactive agents coated onto the porous pad or sponge tended to becomeblinded by the volume of fluids inside the filter assembly, whichincreased the head pressure drop, and in time decreased the filteringefficiency.

Maximum efficiency in removing the odor-causing species from the surgeryplume is observed with the wet filter assembly. Though the concentrationof suspected carcinogenic/mutagenic agents in a surgery plume can besubstantially decreased using the dry filter assembly, residual odordoes carry through.

Thus is it apparent that there has been provided, in accordance with theinvention, a filter assembly and method of filtering which fullysatisfies the objects, aims, and advantages set forth above. While theinvention has been described in conjunction with specific embodimentsthereof, it is evident that many alternatives, modifications, andvariations will be apparent to those skilled in the art in light of theforegoing description. Accordingly, departures may be made from suchdetails without departing from the spirit or scope of the generalinventive concept.

I claim:
 1. A filter assembly for receiving and treating an airstreamcontaining a gaseous and particulate materials from a surgery plume,comprising:a canister having an inlet and an outlet, said inlet adaptedto receive an airstream containing gaseous and particulate materialsfrom a surgery plume; introducing means for introducing an aqueoussolution comprises of oxidizing and surface active components downstreamof said canister inlet; a first porous member means in said canister forreceiving said aqueous solution and said gaseous and particulatematerials and for generating a foam by interaction of said aqueoussolution and said airstream through said porous member, the first porousmember means being located downstream of said introducing means; andactivated carbon in said canister downstream of said inlet through whichsaid airstream flows.
 2. The filter assembly of claim 1 furthercomprising a second porous member downstream of said first porous memberand spaced therefrom to create between said first and second porousmembers a foam receiving chamber.
 3. The filter assembly of claim 1further comprising moisture removing material in said canister upstreamof said outlet.
 4. The filter assembly of claim 3 wherein said moistureremoving materials is selected from the group consisting of calciumsulfate, amorphous silica, zeolite, and mixtures thereof.
 5. The filterassembly of claim 1 further comprising a discrete porous membercontaining a component thereon for removing aldehyde from saidairstream.
 6. The filter assembly of claim having means to draw gaseousand particulate materials generated during electrocautery into saidcanister.
 7. The filter assembly of claim 1 wherein said activatedcarbon is downstream of said first porous member.
 8. The filter assemblyof claim 1 wherein said activated carbon is granulated charcoal.
 9. Thefilter assembly of claim 1 wherein said activated carbon is comprised ofa mixture of ground activated carbon and adhesive impregnated onto anon-woven substrate.
 10. The filter assembly of claim 9 wherein saidactivated carbon comprises a portion of a discrete filter cartridge,said filter cartridge located inside said canister.
 11. The filterassembly of claim 10 wherein said filter cartridge has a tubularconstruction and further comprises a layer of a non-woven substrateimpregnated with a mixture of amorphous silica and adhesive.
 12. Thefilter assembly of claim 11 wherein said filter cartridge includes anopen space along the entire center length thereof to facilitate passingsaid airstream out of said filter assembly.
 13. The filter assembly ofclaim 1 wherein said first porous member is comprised of a blend ofnylon and polyester fibers.
 14. A filter assembly for receiving andtreating an airstream containing gaseous and particulate materialsincluding cyanide, aldehyde and benzene from a surgery plume,comprising:a canister having an inlet and an outlet, said inlet adaptedto receive an airstream containing gaseous and particulate materialsfrom a surgery plume; a filter member inside said canister incorporatinga component reactive to cyanide downstream of said inlet; a discretedesiccant layer inside said canister downstream of said filter componentreactive to cyanide; a filter member inside said canister incorporatinga component reactive to aldehydes downstream of said inlet; and adiscrete layer of activated carbon downstream of said desiccant layerfor removing said benzene.
 15. A system for receiving and treating anairstream containing gaseous and particulate materials from a surgeryplume, comprising:a canister having a flow path defined between an inletand an outlet of the canister wherein an airstream is received throughthe inlet, treated within the canister and exhausted from the outlet,said inlet for receiving said airstream containing gaseous andparticulate materials from said surgery plume; said canister having ameans for introducing an aqueous solution comprised of oxidizing andsurface active components for treating the airstream; a first filtercomponent in said canister downstream of said inlet which is positionedto receive said aqueous solution and said airstream containing saidgaseous and particulate materials, the first filter component havingporous means for generating a foam through interaction of said aqueoussolution and said airstream in said porous means; and an activatedcarbon filter component in said canister positioned downstream of saidinlet in a flow path through which the airstream flows.
 16. The systemof claim 15 wherein said oxidizing component of said aqueous solution isselected from the group consisting of sodium hypochlorite, sodiumperborate, sodium permanganate, sodium thiosulfate, and mixturesthereof.
 17. The system of claim 15 wherein said surface activecomponent of said aqueous solution is selected from the group consistingof sodium alpha olefin sulfonate, sodium lauryl dimethylamine oxide,sodium alpha olefin sulfate, nonylphenol polyethylene glycol ether,disodium oxy-bis dodecyl benzene sulfonate, and mixtures thereof. 18.The system of claim 15 wherein the pH of said aqueous solution is in therange of about 10.5 to about 12.5.